| NPI | 1487944765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUSHANTA L STUBBS Owner 713-927-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2012-05-07 |